ࡱ> SUR bjbj ?P ^^8$sL:OOOaxKKxx4-x0x,̝7pC0sO pO O pOhJ<=;OOO OOOsxxxxO OOOOOOOOO^ g: Health and Safety Risk assessment form for new or expectant mothers - Initial assessmentSchool/ DepartmentPersons affected and main activities  Please delete as appropriateNew mother Expectant mother Breast feeding Identify the specific risks from the hazard categories overleaf  Identify control measures  How staff are informed of the risk assessment Risk assessment carried out byDateReview date HAZARD CATEGORIES - Please tick the appropriate hazards Physical risks Movements and postures: prolonged sitting (; prolonged standing (; work in confined space ( ; ( Manual handling of loads ( Shocks and vibration ( Noise ( Ionising radiation ( Non-ionising radiation ( Hyperbaric (high pressure) atmospheres eg diving, compressed air ( Underground mining Biological agents ( Biological agent of hazard group 2, 3 and 4, ( Biological agents known to cause abortion or physical and neurological damage Examples of biological agents :Brucella spp, Chlamydia (psittaci/trachomatis), Listeria monocytogenes, Mycobacterium tuberculosis, Treponema pallidum (syphilis), Toxoplasma gondii, Cytomegalovirus, Herpes simplex. Hepatitis virus, HIV, Paramyxoviridae (mumps/measles), Parvovirus and Rubella ( Substances labelled R40 (Limited evidence of carcinogenic effect), R45 (May cause cancer), R46 (May cause heritable genetic damage), R49 (May cause cancer by inhalation),R60 (May impair fertility) R61 (May cause harm to the newborn child), R62 (Risk of impaired fertility) R63 (Possible risk of harm to the unborn child, R64 (May cause harm to breast fed babies) and R68 (Possible risk of irreversible effects)and preparations. ( Chemical agents and industrial processes subject to the control of carcinogenic substances procedures in COSHH ( Mercury and mercury derivatives ( Antimitotic (cytotoxic )drugs ( Chemical agents that can be absorbed through the skin eg pesticides ( Carbon monoxide ( Lead and lead derivatives Working conditions ( Resting facilities ( Hygiene facilities ( Storage facilities ( Mental and physical fatigue and working hours ( Occupational stress ( Passive smoking ( Extremes of temperature ( DSE work ( Lone working ( Working at height ( Travelling inside and outside the workplace ( Work-related violence ( Work equipment and personal protective clothing ie ill fitting ( Appropriate meal and refreshment breaks Personal factors ( Morning sickness ( Backache ( Varicose veins ( Haemorrhoids ( Frequent visits to the toilet ( Increasing size ( Tiredness ( Balance ( ComfortHealth and Safety Risk assessment form for new or expectant mothers Specific Risk assessmentName of personSchool/ DepartmentMain activity Please delete as appropriate New mother Expectant mother Breast feeding Identify the specific risks from the hazard categories overleaf Identify control measures Note: Use the hierarchy Remove risk, if no 1) Adjust working conditions/hours, if no 2) Provide suitable alternative work, if no 3) Suspend on full pay How will risk assessment be monitored Risk assessment carried out byDateReview date (max 3 months)     Health and Safety Guidance Notes on Maternity Issues ֱapp PAGE 2 PAGE 3 September 2003 ֱapp September 2003  PAGE 1 FGXZmo: I e  ' 6 F f g ~  ööëöööööööëÛnnnnn" jhVdh5CJOJQJ^Jh5CJOJQJ^JhVdh5CJOJQJ^JhVdh55CJOJQJ^Jh55OJQJ^JhVdh5OJQJ^JhVdh55OJQJ^JhVdh55CJOJQJ^Jh55CJOJQJ^J"hVdh55;CJOJQJ^J+YZbmndkd$$Ifl4#D$ t$04 laf4 $Ifgd!Uno $Ifgd!Utkd$$Ifl0O# t$04 la $Ifgd!Utkd $$Ifl0O# t$04 la; < = > ? @ A B C D E F G $Ifgd!Utkd$$Ifl0O# t$04 laG H I c e f g h i j k l m n o tkdP$$Ifl0O# t$04 la $Ifgd!Uo p q r s t u v w x y z { | } ~  $Ifgd!U $Ifgd!Utkd$$Ifl0O# t$04 la $Ifgd!Utkd$$Ifl0O# t$04 la $Ifgd!Utkd$$Ifl0O# t$04 la $Ifgd!Utkd$$Ifl0O# t$04 la ' 6 ( = V vvvvvvvvvvv $Ifgd!U x$Ifgd!UtkdH$$Ifl0O# t$04 la ! 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